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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40577/psn-pdfJuly 06, 2011 - Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. July 6, 2011 Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary preventio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73896/psn-pdfSeptember 29, 2021 - Policies to promote shared responsibility for safer electronic health records. September 29, 2021 Sittig DF, Singh H. Policies to promote shared responsibility for safer electronic health records. JAMA. 2021;326(15):1477-1478. doi:10.1001/jama.2021.13945. https://psnet.ahrq.gov/issue/policies-promote-shared-respon… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41227/psn-pdfMarch 21, 2012 - Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. March 21, 2012 Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN J Parenter Enteral Nutr. 2012;36(2 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46026/psn-pdfMay 03, 2017 - Key principles in quality and safety in radiology. May 3, 2017 Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951. https://psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology This review s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838638/psn-pdfSeptember 01, 2012 - Directed peer review in surgical pathology. September 1, 2012 Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology Diagnostic error in pathology can result in delaye… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45951/psn-pdfOctober 31, 2017 - A systematic review of team training in health care: ten questions. October 31, 2017 Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. https://psnet.ahrq.gov/issue/systematic-rev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45569/psn-pdfJanuary 23, 2017 - Patient experience must move beyond bad apples. January 23, 2017 Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern Med. 2016;165(12):869-870. doi:10.7326/M16-1725. https://psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples Patient safety leaders ha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72601/psn-pdfJanuary 01, 2021 - Increasing physician reporting of diagnostic learning opportunities. December 23, 2020 Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. https://psnet.ahrq.gov/issue/increasing-physician-reporting… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47268/psn-pdfMay 11, 2019 - Measuring shared mental models in healthcare. May 11, 2019 Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219. https://psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare Shared mental models are an important element of team collaboration. This review explores the current… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44846/psn-pdfAugust 31, 2016 - Making health care safer: protect patients from antibiotic resistance. August 31, 2016 CDC; Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/making-health-care-safer-protect-patients-antibiotic-resistance Health care–associated infections (HAI) are a worldwide patient safety problem. This a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47557/psn-pdfNovember 14, 2018 - A Patient-Safe Future. November 14, 2018 Patient Safety Learning: London, UK; September 2018. https://psnet.ahrq.gov/issue/patient-safe-future This paper provides an analysis of the current status of patient safety in the United Kingdom. The report outlines existing challenges and strategies to drive system improv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73970/psn-pdfOctober 21, 2021 - The Good, The Bad, and The Ugly: Patient Experiences with CRPs. October 13, 2021 Collaborative for Accountability and Improvement. October 21, 2021. https://psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps Communication-and-resolution program (CRP) initiatives are a valuable strategy for impro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73861/psn-pdfSeptember 22, 2021 - Bringing the clinical laboratory into the strategy to advance diagnostic excellence. September 22, 2021 Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43050/psn-pdfMarch 19, 2014 - Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. March 19, 2014 Washington, DC: United States Government Accountability Office; March 6, 2014. Publication GAO-14- 207. https://psnet.ahrq.gov/issue/electronic-health-record-progr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853980/psn-pdfSeptember 27, 2023 - RFID tags reduce restocking errors of anesthesia medications. September 27, 2023 Banks MA. Specialty Pharmacy Continuum. September 15, 2023. https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications Radiofrequency identification (RFID) devices are being used to improve processes in the… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50758/psn-pdfDecember 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. December 18, 2019 Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268. https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine The modern patient safety movement … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837346/psn-pdfJune 08, 2022 - Decontamination of Surgical Instruments. June 8, 2022 Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022. https://psnet.ahrq.gov/issue/decontamination-surgical-instruments Surgical equipment sterilization can be hampered by equipment design, production pressures, process complexity and policy mi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844792/psn-pdfJanuary 01, 2020 - Surgical data recording technology: a solution to address medical errors? September 18, 2019 Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42880/psn-pdfJanuary 22, 2014 - Applying ethnography to the study of context in healthcare quality and safety. January 22, 2014 Leslie M, Paradis E, Gropper MA, et al. Applying ethnography to the study of context in healthcare quality and safety. BMJ Qual Saf. 2014;23(2):99-105. doi:10.1136/bmjqs-2013-002335. https://psnet.ahrq.gov/issue/applyin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33958/psn-pdfDecember 18, 2008 - A review of the literature examining linkages between organizational factors, medical errors, and patient safety. December 18, 2008 Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. Med Care Res Rev. 2004;61(1):3-37.…
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